JENS MITTLER (NPI# 1770715021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770715021 |
| Entity Type | Individual |
| Full Name | JENS MITTLER |
| Credential | MD |
| Practice Address |
96 Jonathan Lucas St Csb 409 Charleston SC 29425-8900 |
| Practice Telephone | 8437928358 |
| Practice Fax Number | 8437928596 |
| Mailing Telephone | 8437928358 |
| Mailing Fax Number | 8437928596 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | LL32094 | SC | Other Service Providers |
| Street Address |
96 JONATHAN LUCAS ST CSB 409 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933193 | Emmie Elizabeth Steadman | Nurse Practitioner | 96 Jonathan Lucas St, Suite 424, Charleston, SC 29425-8900 | 2005-12-15 |
| 1629687843 | Mattia Rosso | Psychiatry & Neurology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-07-23 |
| 1962049429 | Christina Marie Thomas | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8911 | 2019-12-04 |
| 1467094920 | Farah Flaitz Stokes | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-10-16 |
| 1518526565 | Emily Katherine Depue | Physician Assistant | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-06-12 |
| 1093374621 | Anna Y Bashmakov | Psychiatry & Neurology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-06-07 |
| 1396309951 | Amanda Marie Jones | Physician Assistant | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-04-29 |
| 1053872150 | Elizabeth Bunch Wachowicz | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-03-29 |
| 1689135865 | Annemarie Leveen Roncancio | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-03-28 |
| 1548746803 | Ismail Mikdat Kabakus | Radiology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194045435 | Jeannie Laticia Stewart | Community Health Worker | 196 Wertz Ave, Charleston, WV 25311-1726 | 2010-06-09 |
| 1225350127 | Center for Therapeutic Massage | Community Health Worker | 45 Courtenay Dr, Charleston, SC 29401-1117 | 2010-02-18 |
| 1912225004 | Jarrod Chevalier Fritz | Community Health Worker | 1064 Gardner Rd, Ste 313, Charleston, SC 29407-5768 | 2010-05-13 |
| 1538340864 | Margaret Maltese | Community Health Worker | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-11-15 |
| 1235319732 | Marlyn Martin | Community Health Worker | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669324 | Crystal Annette Emory | Community Health Worker | 2311 Deerfield Way, Spartanburg, SC 29302-4500 | 2020-08-13 |
| 1831714534 | Nickos Williams | Community Health Worker | 103 Brams Ct, Taylors, SC 29687-4079 | 2020-06-09 |
| 1932662038 | Charles David Adams Jr. | Community Health Worker | 16 Porcher Rd, Bluffton, SC 29909-4138 | 2019-04-08 |
| 1487113098 | Marquetta Denise Cason | Community Health Worker | 406 Spring Meadow Rd, Simpsonville, SC 29680-3742 | 2019-03-14 |
| 1801375811 | Jasmin Corvette Jones | Community Health Worker | 1540 Black Hwy, York, SC 29745-9725 | 2018-08-09 |
| 1295286573 | S&s Boarding Home,llc | Community Health Worker | 3589 Bluff Rd, Allendale, SC 29810-4139 | 2016-10-20 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1043764251 | Shebra Davis | Community Health Worker | 1613 Ruger Dr, Sumter, SC 29150-7916 | 2016-08-05 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
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| City | CHARLESTON |
| Zip Code | 29425 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.